...acknowledging your own biases may be helpful when working with clients. As a future mental health professional being in the position of a client, that is seeing a therapist whose background is different from mine whether by ethnicity, linguistics or even sexuality I would crave for them to be understanding, non-judgmental and respectful of my beliefs and values. In reflecting an understanding attitude, it would be very important for me that the therapist displays keen listening skills; as these attitudes of listening can either assist in promoting a free flowing dialogue between myself and the therapist or build a wall which may prevent me from expressing my feelings on the challenges and issues I am currently facing. In the therapeutic relationship, it is important that the client feels that the therapist is not critical and judgmental towards them and displays a high level of "caring and compassion toward the client even if they have confessed their deepest secrets and hidden desires" (Brew and Kottler, 2008; p.115). Another aspect of being understanding on the part of the therapist is the therapist's body language. Especially with the therapist's cultural differences certain actions in relation to body language may have differing meaning and thus depending on the action may be construed as being offensive. With body language being so important Ivey, Ivey and Zalaquett (2010) noted that if the therapist faces the client squarely, leans forward slightly, has a positively...
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...Abstract Many people, in the contemporary society are living under economic, emotional and psychological depression, a situation that has forced a number of them to seek for therapeutic assistance from professionals. Therapeutic visits to professional counselors have increased since the last half of the 20th Century, where major global changes began to take place. However, it is crucial to note that the increasing growth has been reflected by the rise in the number of therapy models such as Solution-Focused Brief Therapy, Cognitive Behavioral Theory, and Alderian theory. However, despite the increasing number of individuals seeking help from therapist dealing with these therapeutic models, a huge number of therapists have found little time to devote to their clients. There are a number of reasons that are attributed to this situation and they include, high charges for the service, and lack of adequate time, as the client must go to work and attend to all crucial activities of his or her daily life, for instance taking care of children especially for female clients. Introduction Therapy is the process through which, an individual engages into an one-on-one conversation with a trained and skilled expert, with the aim of learning ways through which he or she can deal with depression, stress, fear and tension (Corey, 2009). The trained individual can be a clinical social worker, psychologist, psychiatrist or a trained counselor. There are different approaches that are applied...
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...communicate the ways in which a nurse must effectively establish and maintain a therapeutic relationship with their patient through not only treatment and caring, but throughout communication towards a selected client from the City of Horizon online Hospital. The selected client to focus on throughout this assignment is Tai Cam. In this assignment, therapeutic relationships will be discussed, assessing the guidelines and boundaries whilst being compared to the national competency standards which must be followed by nurses. A therapeutic relationship is a relationship between the nurse and the patient, however this relationship is on a personal but professional level. Nurses need to ensure they are not coming...
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...Effects of Humor and Laughter on Healing in Adults with Illness: A Multidisciplinary Concept Analysis Lauren E. Johnson University of Texas at Arlington College of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, RN, MN, DNP March 10, 2014 Effects of Humor and Laughter on Healing in Adults with Illness: A Multidisciplinary Concept Analysis The stressors of illness, together with the stressors of everyday life, can challenge the coping mechanisms of all patients. The relationship between humor and health dates back to the bible: “A cheerful heart is good medicine, but a crushed spirit dries up the bones” (Proverbs 17:22, New International Version). Research across many disciplines has shown humor to be an important tool in facilitating these coping skills Humor is an integral part of everyday life and, therefore, also a component of the care and treatment of patients in the modern health care system. The purpose of this paper is to examine and analyze the concept of humor along with laughter in the healthcare arena as well as serve as a vehicle in providing a clearer understanding of the thought and its therapeutic value in nursing. Review of Literature Don’t forget to summarize here!!!! Nursing Discipline A quantitative study was conducted by Astedt-Kurki & Liukkonen (1994) to illustrate the occurrence and meaning of humor in the nursing process, as described and experienced by professional...
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...Publishing Company. This work is copyrighted and can be reproduced and used only with the permission of the textbook company. The Therapeutic Relationship • The therapeutic relationship is an important component of effective counseling • The therapist as a person is a key part of the effectiveness of therapeutic treatments • Research shows that both the therapy relationship and the therapy used contribute to treatment outcome Theories of Counseling • Gerald Corey’s Perspective of Theories of Counseling: • No single model can explain all the facets of human experience o Eleven approaches to counseling and psychotherapy are discussed • Your textbook book assumes: o Students can begin to acquire a counseling style tailored to their own personality ▪ The process will take years ▪ Different theories are not “right” or “wrong” ▪ The Effective Counselor from the perspective of Gerald Corey • The most important instrument you have is YOU ▪ Your living example of who you are and how you struggle to live up to your potential is powerful • Be authentic ▪ The stereotyped, professional role can be shed ▪ If you hide behind your role the client will also hide • Be a therapeutic person and be clear about who you are ▪ Be willing to grow, to risk, to care, and to be involved Counseling for the Counselor...
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...Therapeutic communication in its fundamental concept is providing a best treatment for patient based on patient-centre service. On the video case scenario, it is known that the woman is experiencing cerebrovascular attack. CVA or popularly known as stroke, needs a complex care as it involves plenty of communication barriers between patient and healthcare professionals, such as weakness, numbness, vision, and particularly, speech abnormalities (Grear & Bushnell, 2013). As stroke involves difficult communication, healthcare professionals need advanced skills of communication. For the purpose of the essay requirement, I will review how healthcare professional is conducting session with a patient from the therapeutic communication perspective. A patient is recently assigned to a hospital through emergency department. When paramedic team performs clinical handover to a nurse, he describes that the patient is 35 years old, 28 weeks pregnant and has history of hypertension. The nurse learns that she has difficulty in communication and gives a simple guideline. This is where the essence of therapeutic communication plays a great role. Anytime she shakes her head means affirmation and nodding means negation. Afterward, the nurse describes that there will be some other healthcare professionals visiting her. The first healthcare worker coming in after nurse is the radiographer. His intention is to inform and ask a consensual agreement of CT scan to the patient’s brain. The scanning procedure...
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... A L L I A N C E - Research Paper by KANTHAROUP Term. Establishing an efficient relationship between client and counsellor is one of the key aspect in counselling. Every therapeutic session starts with the process of building up a therapeutic alliance. Bob Shebib defines the therapeutic alliance as a time limited period of consultation between a counsellor and one or more clients for assisting the client in achieving a defined goal (Shebib, 2014). However, to achieve successful results, a partnership that primarily focuses on the clients’ needs and goals is required. The therapist must be eager to help the clients with care and compassion while the patient also need to perceive and understand their own mental state. Interactions between both sides should be done with trust and respect to ensure the safest environment possible for the client. As therapeutic alliance is the heart in counselling processes, it is significant to acknowledge some of the key components that leads to a successful therapeutic session. This paper will demonstrate how a successful relationship is constructed. It will first explore the emotional and affective component highlighting the bonding of both therapists and client. Agreement on goals between both sides be examined in a detailed method. To finalize the paper, numerous principles will be shown to illustrate the ways therapists should cope if a therapeutic rupture interferes. In order for the client and therapist to form a partnership based...
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...implies that the client–counselor relationship has more influence on engagement and enhanced outcomes than the methods, tools and instruments we employ (Hubble et al., 1999). Clients coming into treatment facilities for assessment indicate that the warmth and welcoming attitudes of the staff—rather than client perceptions of the staff’s skills—are the most significant feature in making clients want to return to use the service. In a cross-cultural meta-analysis of therapy outcome literature, Asay and Lambert (1999) report that the single most vital aspect is that of the counselor and what he or she can influence, is the therapeutic relationship; this relationship describes 30 percent of the variance in treatment outcome. Technique and method, which counselors tend to concentrate on in their guidance, was only half as influential, accounting for just 15 percent of the outcome variance in therapy. The other factor that the therapist can influence, expectancy (the belief that things will improve or be sufficiently addressed), accounted for 15 percent of the variance—the same as technique and method. That leaves 40 percent of the variance to extra therapeutic factors relating to the client’s personal strengths and weaknesses, social supports and ecological resources. Too frequently, clinicians have presumed that clients with severe, persistent substance use and mental health issues are too compromised to benefit from the therapeutic relationship in the way healthier clients are...
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...Eysenck’s (1952) view and debate surrounding the fields worth began to accumulate. As a result psychotherapy research for the next few decades would focus on determining whether therapy was effective (House & Loewenthal, 2009). Subsequently, a plethora of studies that demonstrated its efficacy emerged (Smith Miller & Glass, 1980; Lambert & Bergin, 1994; Ahn & Wampold, 2001). So much so, that early studies revealed the treated population fared much better in comparison to their untreated counterparts (Sparks, Duncan & Miller, 2008:1; Asay & Lambert, 1999). The finding that psychotherapy is effective was further supported by “more abstract” mathematical summaries of empirical data (Asay & Lambert, 1999:24) Meta-analysis is just that a mathematical technique that is frequently used to produce estimates of the size of any treatment effects (Asay & Lambert, 1999:24). In applying...
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...CHAPTER 12 Feminist Therapy Co-authored by Barbara Herlihy and Gerald Corey INTRODUCTION History and Development KEY CONCEPTS View of Human Nature Feminist Perspective on Personality Development Challenging Traditional Roles for Women Principles of Feminist Psychology THE THERAPEUTIC PROCESS Therapeutic Goals Therapist’s Function and Role Client’s Experience in Therapy Relationship Between Therapist and Client APPLICATION: Therapeutic Techniques and Procedures The Role of Assessment and Diagnosis Techniques and Strategies The Role of Men in Feminist Therapy FEMINIST THERAPY APPLIED TO THE CASE OF STAN SUMMARY AND EVALUATION Summary Contributions of Feminist Therapy Limitations and Criticisms of Feminist Therapy FEMINIST THEORY FROM A MULTICULTURAL PERSPECTIVE Contributions to Multicultural Counseling Limitations for Multicultural Counseling WHERE TO GO FROM HERE RECOMMENDED SUPPLEMENTARY READINGS REFERENCES AND SUGGESTED READINGS 340 SOME C O N TE M P O R ARY FEMINIST T H E R AP I STS Feminist therapy does not have a single founder. Rather, it has been a collective effort by many. We have selected a few individuals who have made significant contributions to feminist therapy for inclusion here, recognizing full well that many others equally influential could have appeared in this space, Feminist therapy is truly founded on a theory of inclusion. member of the board of trustees of the last two. In recent decades...
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...or Relationship Therapy? Summary Chapter 2: The Historical Perspective Planting the Seeds: The 1940s Cybernetics Development of Interdisciplinary Approaches Gregory Bateson Putting Down Roots: The 1950s Bateson (Continued) The Double-Bind Hypothesis Nathan Ackerman Murray Bowen Carl Whitaker Theodore Lidz Lyman Wynne Ivan Boszormenyi-Nagy John Elderkin Bell Christian F. Midelfort Overview of the 1950s The Plant Begins to Bud: The 1960s Paradigm Shift The MRI Salvador Minuchin Other Developments Blossom Time: The 1970s Psychodynamic Approaches Natural Systems Theory Experiential Approaches Structural Approaches Strategic Approaches Communication Approaches Behavioral Approaches Gregory Bateson Connecting and Integrating: The 1980s Other Voices The Limits of History Controversy, Conflict, and Beyond: The 1990s The Feminist Critique Family Therapy and Family Medicine Integration and Metaframeworks Managed Care The Twenty-First Century: Continuing Concerns and Emerging Trends Summary Chapter 3: The Paradigmatic Shift of Systems Theory A Cybernetic Epistemology Recursion Feedback Morphostasis/Morphogenesis Rules and Boundaries Openness/Closedness Entropy/Negentropy Equifinality/Equipotentiality Communication and Information Processing Congruent and Incongruent Communication Avoiding Communication traps Relationship and...
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...Personal and Professional Healthcare Communication xxxxxxxx HCS/350 Health Care Communication Prof: xxxxxxx Date: 1/02/2011 “Communication is the process of sharing information using a set of common rules” (Northouse & Northouse, 1998, p. 2). Health care communication is a specific and narrower form of communication that takes place between the health care professionals and patients regarding health. Communication Human Communication Health Communication Figure One: Relationship among three kinds of communication (source: Northouse &Northouse, 1998, p. 2) Many organization has defined health care communication in different ways. Just like any other human communication, it is person specific. This is a skill health care professionals need to learn by practice. According to The United States Office of Disease Prevention and Health Promotion (2010), "the art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community" (Terminology, para. 4). Communication is a skill that professional needs to learn and practice to be an effective communicator. While practicing, they should employ the four...
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...behavioural patterns which reinforce the distorted thinking. Thought catching is the stage in CBT in which fault cognitions are identified and influence is made to correct them. Behavioural activation involved completing physical activities, something which depressed people do not involve themselves in but can be used as an antidote. Psychodynamic interpersonal therapy emphasises the importance of therapeutic conversation in which past problems are talked about and relived, ensuring a stable relationship between therapist and client. There are many components to PIT. Exploratory rationale identifies difficult relationships and a rationale is developed linking this to current symptoms. Shared understanding involves the therapist truly understanding the client’s experiences. A third part of the therapy is recreating the different feelings within a therapeutic environment. Through this the therapist tries to modify the disturbances which ultimately causes depression A02 There is empirical support for the use of CBT in the treatment of depression. Robinson et al conducted a metal analysis that found that CBT was more effective in depressed individuals comparing it to no-treatment control groups. This suggests that reduction of symptoms was not due to chance, but the effect of CBT. However, on closer inspection when the control groups were subdivided into no-treatment (waiting list) and placebo groups, CBT was not significantly more...
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...Adlerian Approach with Abby Sylvia Montalvo Walden University Adlerian Approach with Abby The therapeutic approach in the case profile of a client named Abby after an assessment is given, and a summary is developed based on the information collected is the Adlerian approach. According to the COUN 6722 study notes, Abby is a 57 year-old African American women who came into the office seeking counseling. Abby works part-time as a free-lance editor. Abby has a bachelor’s degree in literature. Abby is married to her husband Ron who was diagnosed two months ago. Abby has a difficult time accepting that her husband was diagnosed with cancer (Walden University, 2012). She cannot cope with the situation, therefore Ron’s brother is the one who takes him to have his treatments, and to his doctor’s appointments. Abby is depressed, and spends her time crying, sleeping, has lost her appetite, and feels fatigued. She feels guilty that she is not supportive toward her husband (Walden University, 2012). Abby has always believed to be hopeless throughout her life. She has low self-esteem, and believes that everyone around her has a better life than she does, though she has lived comfortably. Abby has expressed that she suffered from migraine headaches in her twenties, which has become worse over the years (Walden University, 2012). Doctors have prescribed medications for the migraines, which has not been effective. Abbey claims that she drinks alcohol two...
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...A therapeutic crossroads My client is a young woman, white, middle-class and well-educated. She came into therapy because she feels unable to proceed in any direction with her work life, or make meaningful contact with anyone apart from her partner; she has been very unhappy for a long, long time. In sessions, she often lapses into silence, unable to move or speak. Sometimes we can talk around this, and it soon became clear to both of us that this state reflects her inner relationship with her mother. She knows that her parents love her, and she loves them; but she grew up without really questioning that how she thinks, feels and acts must match what her mother expects and can cope with. Otherwise, and particularly if anger is involved, she is overwhelmed with foreboding and terrible guilt. Coming into therapy has brought these dangerous feelings to the fore; but it is as though I am her mother, and so she cannot speak. As I sit with my client in her agony of self-consciousness, I have a choice to make. I could introduce an active mode of therapy. We could take her mother out of me and put her on a cushion where, with my encouragement, she might be able to develop communication back and forth. Alternatively, we might explore the acute bodily tensions that are part of her paralysed state, to help her give voice to what they are mutely saying. I would be taking the choice of standing alongside my client so that we could face her problems together. We would be locating those problems...
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